Frequently Asked Questions

FAQS

Vein Treatment FAQs

How does the VenaCure EVLT system actually work to treat varicose veins?
A laser fiber is fired inside and along the length of your faulty, varicose vein. The laser energy heats the blood, which then damages the vein wall, shrinking them closed so that blood can no longer flow through.

Is loss of this vein a problem?
There are many veins in the leg and, after treatment, the blood in the faulty veins will be diverted to normal veins with functional valves. The resulting increase in circulation will significantly relieve symptoms and improve appearance.

What are the side effects and complications of varicose vein treatment with the VenaCure EVLT system?
The VenaCure EVLT procedure, like all minimally invasive procedures, can potentially have some slight bruising, which commonly disappears within the first few weeks. You will feel a delayed tightness (or “pulling” sensation) 4-7 days after laser treatment, which is normal and expected following a successful treatment. All surgical procedures involve some element of risk and have the potential for complications. This should be balanced against the risk of complications if your varicose veins remain untreated. Consult your provider for further information.

Am I at risk from the laser?
You will be given a pair of special glasses to wear to protect your eyes, however this is just a precaution against accidental firing of laser energy outside the body.

How successful is the VenaCure EVLT procedure?
Clinical data with up to 5 years of follow-up show success rates of 93-98%. This is much higher than surgical ligation and stripping, radiofrequency electrosurgery, and injection sclerotherapy. Laser treatment for varicose veins has become the ‘gold standard’.

What are alternative varicose vein treatments?
Surgery (called ‘Ligation & Stripping’) is the traditional treatment, but it can be quite painful and often has a long recovery time. It is performed in a hospital, involves general anesthesia, leaves a scar, and has a fairly high recurrence rate (on average 10-25%). Other alternatives include ultrasound-guided sclerotherapy (injection therapy) and radio frequency electro surgery. Injection therapy for the saphenous vein has a high recurrence rate, frequently requiring retreatment, and is generally limited to smaller varicose and spider veins. Radiofrequency electrosurgery is more limited in the range of patients it can treat, and the treatment time is longer than with VenaCure EVLT.

How long does a sclerotherapy treatment session last?
If this is your first treatment, your provider may observe your response to a small dose prior to additional doses. This observation may take up to several hours depending upon the provider’s discretion. Subsequent appointments should take less time. Most individuals have multiple spider veins or small varicose veins that need treatment, and only 10 to 20 injections can be done during each session, so the length of each session and the number of sessions is determined by the amount of work to be done. Sclerotherapy is a process, not a one-time treatment, so most patients require two or three sessions at weekly intervals.

What happens after a sclerotherapy treatment?
Once a sclerotherapy treatment session is completed, the injection sites are covered with sterile dressings and the entire area is wrapped in an elastic bandage, which is left in place for two to three days to minimize bruising and swelling. The legs should also be elevated for two to four hours after the procedure. Your provider may recommend the use of compression stockings to help minimize bruising and swelling. Some mild pain is to be expected so your provider may advise treatment with an analgesic. Other side effects, including pain, hives, or ulcers (sores), may occur at the site of injection. A permanent discoloration may remain along the path of the treated vein. Allergic reactions such as hives, asthma, hayfever, and serious breathing difficulties (anaphylactic shock) have been reported. Blood clots, including ones that travel to your lungs, have been reported. Other side effects reported include headache, nausea and vomiting. Patients can usually resume normal activities after two days. A follow-up visit with the provider is often scheduled within a few days of the procedure. Improvements are noticeable after two to three weeks and optimal improvements within six months. The foregoing may vary considerably depending on the sclerosing agent used, the nature of the therapy provided and the patient’s particular circumstances. Please see additional important safety information below.

Is there any preparation required before sclerotherapy?
It is recommended that patients refrain from smoking and taking aspirin for a few days prior to their sclerotherapy procedures. Be sure to tell your provider about any medical conditions you have, and medications you are taking. Otherwise, no extensive preparation is generally required.

Can anyone undergo sclerotherapy?
There are a few exceptions to those who can undergo sclerotherapy for their varicose veins or spider veins. Among these exceptions are women who are pregnant or nursing should not undergo sclerotherapy. Persons who must spend most or all of their time in bed should not undergo sclerotherapy. Some medications may increase the risk for complications, so tell your provider about any medications you’re taking. In addition, there may be other factors that affect the outcome of the procedure, so be sure to discuss your situation with your provider.

How is sclerotherapy performed?
Sclerotherapy uses a fine, thin needle to inject a chemical irritant, or sclerosing agent, into the affected varicose or spider veins. The sclerosing agent collapses the vein, causing it to form scar tissue and become less visible.

Who performs sclerotherapy?
Sclerotherapy should only be administered by a licensed medical professional experienced in venous anatomy and the diagnosis and treatment of venous conditions, and who is familiar with proper injection techniques, as needle placement and dosage at each injection site are important.


Intravenous (IV) Therapy FAQs

What is IV therapy?

IV Therapy is an intravenous infusion of fluids, vitamins, minerals, and/or other nutrients. Intravenous means “within vein” is a therapy that is a safe, fast, efficient way to deliver essential fluids and nutrients directly into the bloodstream.

How does IV Therapy actually work?

IV therapy bypasses the GI (gastrointestinal) tract that allows your body to absorb 100% of the vitamins, minerals, and anti-oxidants. This method quickly and effectively hydrates your body, resulting in a more energized, healthier and better you!

What is the advantage of IV Therapy?

IV Therapy introduces fluids and essential elements directly into the body with 100% delivery of benefits straight to the target organs. Drinking large amounts of fluids or ingestion of a large number of vitamins can result in upset stomach or a sensation of bloating and fullness that does not happen with IV infusions. IV infusions are not meant to be a substitute for oral intake, but they serve more as a supplement or an alternative solution to quickly hydrate and replenish nutrients, while restoring the body to a peak balance. 

Who can benefit from IV Therapy?

IV therapy is key for persons experiencing the effects of dehydration or wanting to improve their overall health and wellness. The majority of our patients are eligible, but from time to time, we have to turn people away, not because they will not benefit from IV Therapy, but because they may require diagnostic testing or monitoring. We take pride in professionalism and safety is our priority. It should be noted that all medical therapies carry a risk. Therefore, it is important for the patient to understand the risks, benefits, and alternatives as well as receiving these therapies only from certified medical professionals. 

Do I need to get testing done prior to consultation for IV Therapy?

Most likely you will not require any testing prior to consultation. Our therapies are designed to restore balance to your body and help you maintain wellness.

What comes in an IV Therapy bag?

An IV bag is a plastic bag that contains a unique combination of vitamins, minerals and anti-oxidants that are diluted into normal saline. We also offer optional medications to include in your IV bag such as Zofran (for nausea) and Toradol (for anti-inflammation).

Who will administer my IV?

Our clinic is overseen by a board certified general and vascular surgeon with over 25 years of experience and all treatments are administered by certified medical professionals. You’re in good hands at Legacy Health & Wellness ThrIVe.

Does IV Therapy hurt?

We pride ourselves on using high-quality products to make your treatment as comfortable as possible, but when your IV is started you will feel a sting (like a big bee sting) in order to access your vein for your infusion. If desired, we can administer a numbing spray at the injection site prior to your IV Therapy treatment.

What are the Potential Side Effects after IV Therapy?

Other than feeling great afterwards, IV Therapy side effects are minor and temporary include possible bleeding, bruising or soreness at the IV site. Other far less common side effects include: risk of infection, allergic reaction, local thrombophlebitis, infusion into surrounding tissue.

Our clinical professionals are well-versed in identifying and managing side effects in the rare case that it should happen. 

How quickly will I feel the effects and how long does it last?

Everyone is different. As a general rule, the more deficient and unbalanced your body is, the greater and more immediate an effect you will feel. Just because you do not feel an immediate response does not mean the therapy is not beneficial. IV Therapy is the gold standard in “flushing” out the body of unwanted toxins and helping achieve balance. The noticeable effects typically last 2-4 days; however, the underlying clinical benefits can continue beyond that. Again, this will all vary on each individual and their physical health status.

How often can I get IV Therapy?

Everyone is different and has unique needs. Some people respond best to a weekly treatment initially while others may only require a single session per month. Lifestyle factors can help determine the frequency for your IV Therapy including: physical activity, nutrition, stress, quality of sleep, etc.

How Much Does IV Therapy Cost?

IV Therapy costs range from $65-$199+ depending on the type of IV Therapy you receive, and additives and/or medications can also be added to your IV Therapy, so prices will vary according to specific therapy.

How Long Does IV Therapy Take?

IV Therapy typically takes around 15-60 minutes depending on your specific needs and IV Therapy selected. It is a quick and effective way to revitalize, reenergize, and recover. It is also a great way to relax and get away from noise and chaos.

Can a child get IV Therapy?

Children can get IV therapy; however, we do not treat minors (under 18 years of age) at our location.

I’m Pregnant, can I get IV Therapy?

IV therapy is safe for most pregnant women; however, we are not treating pregnant women currently.

What types of IV Therapy do you provide?

Our IV therapy treatments are tailored for symptoms that occur with over indulgence, altitude sickness, cold & flu, athletic performance and recovery, and fatigue. We pride ourselves on offering preventative forms of IV Therapy for general health and wellness needs and recovery forms of IV Therapy for recuperation. Our staff of certified medical professionals will provide you guidance and explanation on our therapies to help you decide on the most suitable service.

Do I need to make an appointment?

Appointments are preferred, but not necessary. Book online at legacyhealthwellness.com or call us at 803-547-6800. Walk-ins are always welcome, and we can usually get you in with little to no wait time. Speed up your wait time by filling out our medical forms online.

Do you offer customized treatments not on your website?

Certain therapies are available as enhancements as well as our clinical professionals would be happy to discuss a custom formula to meet your unique needs.

Do you take insurance?

Our services are typically far less expensive than the copays associated with billing insurance. Because of this, we do not accept private health insurance, Medicare or Medicaid.  We do, however, accept FSA and HSA accounts.

Do you do private parties/groups?

Yes! Call us at (803) 547-6800 to ask about booking out our VIP service for your private party.

Do you offer any memberships or packages?

Yes! Our membership package ($125/month) pays for itself in your first visit every month (and then some). Being a member saves you upwards of 30% off each visit. You will receive 1 Free IV Therapy treatment (1 bag), 30% off one add-on and a free B12 injection. Requirements are a minimum of 6 months on auto-pay, then on a month-to-month basis. In addition to our memberships, we offer bundles for IV therapy. Save more by buying our IV therapies in bundles: great for gift giving, sharing with friends or keep them all yourself! *all must be used within one year from purchase date. Ask for further details.


Hormone therapy FAQ’s:

What are Bioidentical Hormones?

Bioidentical, natural hormones are hormones that have the same biochemical structure to those produced by the human body. These hormones are plant derived, natural hormones that are then chemically changed to mirror human hormones. Because they are not artificial molecules designed by pharmaceutical companies, they cannot be patented. Bioidentical hormones are available through compounding pharmacies as ordered specifically by a doctor. They are also available in many different forms, including capsules, sublingual tablets, drops, creams, patches, injections and subcutaneous pellets. The choice of delivery method often depends on the individual patient’s needs, and some methods can be more effective than others.

Bioidentical hormone pellets are rice-grain sized cylinders made to dissolve continuously under the skin over a 3-6 month period. They are impregnated with natural formulations of estradiol and/or testosterone. After numbing the skin with lidocaine, a tiny, 1/8th inch incision is made in the upper outer area of the buttock, and the pellets are inserted into the layer of fat just beneath the skin. Unlike transdermal creams and gels, and oral capsules, pellets release their hormones continuously throughout the day and night, maintaining constant blood levels. Constant levels prevent deficiency symptoms such as hot flashes and night sweats, anxiety or insomnia, and increase the physiologic benefits of these hormones on bone density, cognitive and cardiovascular status.

Are your pellets FDA approved?

The pellets we use in our NHRT therapy are derived from NDC 17-beta estradiol and NDC testosterone. The NDC designation is maintained by the FDA. HOWEVER – the pellets are compounded, not manufactured. The FDA delegates its authority of oversight and regulation of compounded medicines to each individual State’s Board of Pharmacy, under FDA Policy.

What is a healthy testosterone level?

If you look at the results on any medical laboratory test report, for any parameter tested, there is always a reference range listed. For each metabolically important parameter that providers routinely test, a reference range is available against which to evaluate a specific patient result. In fact, before any laboratory test is approved for use by the FDA, reference range data must be available and approved as part of the test review and approval by the Agency. The important thing to understand from this statement is that the reference range for any given test will be entirely dependent upon 3 primary variables.

Does Bio Identical Hormone Therapy work as a fertility treatment?
Legacy Health & Wellness hormone replacement therapy is not a treatment for infertility. If you are lacking estradiol and have a healthy uterus, replacing estradiol can act to proliferate the endometrial lining. When giving estradiol, it must be balanced with progesterone. However, there are many other aspects related to fertility than the health of the endometrial lining alone. LHW’s Therapy should not be considered fertility treatment.

How much does Hormone Therapy cost? Is it covered by insurance?
We have received a number of questions about price and insurance coverage. First, from a price perspective, it would be difficult to sufficiently explain all the options available to answer each individual inquiry. Legacy Health & Wellness offers a number of approaches to hormone replacement from our all-inclusive therapy to individual treatments and most everything in between. Some patients that live away from a state where we have a Center, travel by air or ground to their nearest (or preferred) Center for care while having necessary lab studies conducted at a place close to their home.

As our hormone replacement treatment plan is individually created, it encompasses the needs and goals of each individual. These obviously vary as each of us is unique. The best way to learn all of the options available to meet your specific needs and goals is to schedule your free initial consultation. Our consultant will provide all the detail you need and help you arrive at a treatment plan that is right for you.

With regard to insurance coverage, there are so many different plans of coverage that it is difficult to answer this question in one way that fits all our inquiries. We can say that many of our patients receive some level of coverage from their carriers. It is best to check with your specific provider to determine what levels of coverage may be available to you.

When will I begin to feel the benefits of hormone therapy?
While the answer to that question differs from individual to individual we often see a cessation of night sweats and hot flashes in the very short term. Some women report relief within days. Night sweats and hot flashes are generally related to low levels of estradiol. When natural estradiol is replenished, the body seems to recognize the restoration quickly and immediately utilizes the hormone to address that symptom.

The ability to enjoy a good night sleep is another symptom that we hear is addressed in the short term. Progesterone is a wonderful hormone often referred to as “the happy hormone”. It helps to quiet the mind and it is taken either orally or dissolved under the tongue about an hour before bedtime.

Shortly after we see the decrease in hot flashes, night sweats and an improvement in the ability to sleep well, we see a revitalization of energy levels, mental clarity and sex drive. Testosterone is the “energy hormone”. It allows us to carry more oxygen to our cells providing for that energy and increased stamina. Testosterone also contributes to an increase in sexual desire and response.

While the timelines may vary from person to person, we can often address the symptoms noted above within days to weeks. We first must attain the necessary blood levels and then sustain those blood levels sufficient to maintain a consistent level of relief. Be patient. The key is determining your individual maintenance level. Arriving at that level for long-term symptom relief is often accomplished within the first few months. So, to say it another way, we see an immediate response that may peak and wane for a brief period until we are able to determine your particular maintenance level and develop the administration frequency to hold and sustain symptom relief over the long term.

Do you work with patients who have had full hysterectomies?
The short answer to your question is yes. The term “full hysterectomies” is somewhat incomplete and the description of this procedure has undergone some changes. A full hysterectomy used to mean taking of the uterus, the cervix and the ovaries. Today, we use more specificity. A partial hysterectomy generally means taking the uterus only, while a “full” means the uterus and cervix. Neither of these really addresses the status of the ovaries and fallopian tubes. The terms “bi-lateral salpingo-oophorectomy” (BSO) means taking both ovaries and fallopian tubes, whereas a “left salpingo-oophorectomy” (LSO) or “right salpingo-oophorectomy” (RSO) means the taking of the left or right ovary and corresponding fallopian tube. Therefore, if everything is removed, it would be a full (or total) hysterectomy with BSO.

In any event, when the ovaries are removed (the major source of your hormones) replacement is indicated. If you retained your ovaries and had your uterus removed (with or without your cervix) your need for treatment would be indicated by your hormone levels and your body’s present ability to produce your estradiol or progesterone or testosterone in sufficient amounts to satisfy your body’s needs.

The best way to ascertain your level is to obtain blood levels of your estradiol, progesterone and testosterone as well as your FSH (follicle stimulating hormone), which is the hormone that stimulates the ovaries to produce your estradiol. Your blood levels along with your symptom report will give the provider information sufficient to determine your need for treatment.

Is Hormone Replacement okay for post-cancer patients?
Many breast cancers can be related to estrogen dominance (and I am assuming your breast cancer was also). For that reason, many doctors advise against estrogen (estradiol) replacement therapies in those absent of this essential hormone for fear of ‘awakening’ a dormant cancer. Unfortunately, there is little said about the benefits of balancing estrogen and progesterone. I encourage you to search (“Google”, if you will) “progesterone balances estrogen in breast cancer” and read what has been posted by a number of experts. Estrogen is not your enemy. Estrogen dominance is the issue. You need estrogen for a multitude of body functions and a deficiency of estrogen will create many of the symptoms you suffer. The key is to prevent estrogen from becoming dominate. Progesterone opposes estrogen from becoming dominant. Do not confuse natural progesterone with the progestins.

Taken from Women in Balance.org, “Is progesterone safe? Progesterone has been used in a number of clinical applications since 1940. Its early use was to assist women with infertility. Progesterone has NOT been linked to increased cancer risk. In fact, a large study conducted in France found that using bio-identical progesterone did not cause any increase in breast cancer, whereas use of synthetic progestins did result in a statistically significant increase in breast cancer risk. It is important to note that progesterone is often confused with progestins, which have been linked to increased cancer risk as noted in the Women’s Health Initiative in addition to the French study.”

Educate yourself as to the issue of estrogen dominance and progesterone balancing. Learn the differences between Natural (“bio-identical”) hormones and the synthetics. Then, speak again with your provider. It may be unnecessary for you to have to suffer with estrogen deficiency. Our providers would be willing to discuss potential treatment options with your oncologist if he/she is open to having the dialog.

I’ve noticed my skin has more moisture and oils. How does this effect make-up I may be using?
When restoring estradiol and testosterone levels in women, you will see an increase in skin moisture and natural oils. Estradiol retains fluid that brings moisture to the skin, fuller breasts and vaginal lubrication. Testosterone restores natural oils of the skin lost in menopause.

Often, women in menopause, due to increased dryness of the skin, have switched to using makeups rich in emollients. Most emollients are forms of oil or grease, such as mineral oil, squalene and lanolin. They work by increasing the ability of the skin to hold water, providing the skin with a layer of oil to prevent water loss, and lubricating the skin. With the restoration of the skin’s natural fluids and oils in hormone replacement, the addition of emollients can add too many moisturizers to the skin that may result in clogging pores or untoward skin reactions.

Some women have found it best to switch back to using “oil-free” makeups the same as those used when they were younger.

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